2024 AHIP Module 3 Exam Questions with
Correctly Defined Answers
Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-PD plan you
represent. Her neighbor recently suffered from a painful case of shingles. Mrs.
Diaz hopes to avoid such an illness through vaccination. She asks you whether the
cost of shingles vaccination will be covered under the plan you represent. What
should you say? - Exact Answer Yes, there is no cost sharing for the shingles
vaccine even in the deductible phase of her prescription drug plan because it is an
adult vaccine recommended by the Advisory Committee on Immunization
Practices (AICP).
Mrs. Fields wants to know whether applying for the Part D low-income subsidy
will be worth the time to fill out the paperwork. What could you tell her? - Exact
Answer The Part D low-income subsidy could substantially lower her overall costs.
She can apply by contacting her state Medicaid office or calling the Social Security
Administration.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer
plan does not cover prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she be able to? - Exact Answer Yes. Mrs. Walters must
be entitled to Part A and/or enrolled in Part B to be eligible for coverage under the
Medicare prescription drug program.
, 2024 AHIP Module 3 Exam Questions with
Correctly Defined Answers
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare prescription drug
plan. Under what circumstances can she do this? - Exact Answer If the Medicare
Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug
coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.
Mr. Torres has a small savings account. He would like to pay for his monthly Part D
premiums with an automatic monthly withdrawal from his savings account until it
is exhausted, and then have his premiums withheld from his Social Security check.
What should you tell him? - Exact Answer In general, he must select a single Part
D premium payment mechanism that will be used throughout the year.
Mr. Shapiro gets by on a very small amount of fixed income. He has heard there
may be extra help paying for Part D prescription drugs for Medicare beneficiaries
with limited income. He wants to know whether he might qualify. What should
you tell him? - Exact Answer The extra help is available to beneficiaries whose
income and assets do not exceed annual limits specified by the government.
Which of the following statements about Medicare Part D are correct?
I. Part D plans must enroll any eligible beneficiary who applies regardless of health
status except in limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network
but may choose to have one.
Correctly Defined Answers
Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-PD plan you
represent. Her neighbor recently suffered from a painful case of shingles. Mrs.
Diaz hopes to avoid such an illness through vaccination. She asks you whether the
cost of shingles vaccination will be covered under the plan you represent. What
should you say? - Exact Answer Yes, there is no cost sharing for the shingles
vaccine even in the deductible phase of her prescription drug plan because it is an
adult vaccine recommended by the Advisory Committee on Immunization
Practices (AICP).
Mrs. Fields wants to know whether applying for the Part D low-income subsidy
will be worth the time to fill out the paperwork. What could you tell her? - Exact
Answer The Part D low-income subsidy could substantially lower her overall costs.
She can apply by contacting her state Medicaid office or calling the Social Security
Administration.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer
plan does not cover prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she be able to? - Exact Answer Yes. Mrs. Walters must
be entitled to Part A and/or enrolled in Part B to be eligible for coverage under the
Medicare prescription drug program.
, 2024 AHIP Module 3 Exam Questions with
Correctly Defined Answers
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare prescription drug
plan. Under what circumstances can she do this? - Exact Answer If the Medicare
Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug
coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.
Mr. Torres has a small savings account. He would like to pay for his monthly Part D
premiums with an automatic monthly withdrawal from his savings account until it
is exhausted, and then have his premiums withheld from his Social Security check.
What should you tell him? - Exact Answer In general, he must select a single Part
D premium payment mechanism that will be used throughout the year.
Mr. Shapiro gets by on a very small amount of fixed income. He has heard there
may be extra help paying for Part D prescription drugs for Medicare beneficiaries
with limited income. He wants to know whether he might qualify. What should
you tell him? - Exact Answer The extra help is available to beneficiaries whose
income and assets do not exceed annual limits specified by the government.
Which of the following statements about Medicare Part D are correct?
I. Part D plans must enroll any eligible beneficiary who applies regardless of health
status except in limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network
but may choose to have one.
